| Hendricks County Hospital | |
|
998 E Main St Ste 106 Danville IN 46122-1900 | |
| (317) 745-3646 | |
| (317) 745-8300 |
| Full Name | Hendricks County Hospital |
|---|---|
| Speciality | General Practice |
| Location | 998 E Main St Ste 106, Danville, Indiana |
| Authorized Official Name and Position | Erin Rumley (DIRECTOR) |
| Authorized Official Contact | 3177453646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hendricks County Hospital 1100 Southfield Dr Ste 1370 Plainfield IN 46168-4300 Ph: (317) 837-5566 | Hendricks County Hospital 998 E Main St Ste 106 Danville IN 46122-1900 Ph: (317) 745-3646 |
| NPI Number | 1497536163 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 4880505528 |
|---|---|
| Medicare Enrollment ID | O20040811000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497536163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Amy Michelle Steffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972592665 PECOS PAC ID: 7113821471 Enrollment ID: I20031120000070 |
| Provider Name | Mason F Copeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265434401 PECOS PAC ID: 7012817091 Enrollment ID: I20040113000713 |
| Provider Name | Gregory A Yant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487627535 PECOS PAC ID: 3577457308 Enrollment ID: I20040211001086 |
| Provider Name | Clifford E Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588770184 PECOS PAC ID: 4880687243 Enrollment ID: I20040403000252 |
| Provider Name | Karen Rodman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205914660 PECOS PAC ID: 8921093212 Enrollment ID: I20040416000576 |
| Provider Name | Cornelia Hammerly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629050562 PECOS PAC ID: 6305831066 Enrollment ID: I20040420000954 |
| Provider Name | Anita K Mazdai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316925076 PECOS PAC ID: 2961484258 Enrollment ID: I20040601001540 |
| Provider Name | Mark Gregory Tompkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477564003 PECOS PAC ID: 4688654510 Enrollment ID: I20040722000010 |
| Provider Name | Thomas J Novak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477522084 PECOS PAC ID: 6002886363 Enrollment ID: I20040727000014 |
| Provider Name | Eric B Sputh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427007525 PECOS PAC ID: 2163495581 Enrollment ID: I20040814000147 |
| Provider Name | Sridhar R Bolla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316994148 PECOS PAC ID: 2668449455 Enrollment ID: I20040913000083 |
| Provider Name | Thomas Alan Richardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124062070 PECOS PAC ID: 4789641432 Enrollment ID: I20041214000565 |
| Provider Name | Sarah Mccammon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346252871 PECOS PAC ID: 8325098767 Enrollment ID: I20050125000013 |
| Provider Name | Deanna M Fenoughty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245218908 PECOS PAC ID: 2466403688 Enrollment ID: I20050204000611 |
| Provider Name | Steven Keith Ward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568459535 PECOS PAC ID: 9032163076 Enrollment ID: I20050311000548 |
| Provider Name | Gordon D Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164419297 PECOS PAC ID: 1052366358 Enrollment ID: I20050321000148 |
| Provider Name | Nicholaus B Wilhite |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891758454 PECOS PAC ID: 7113967852 Enrollment ID: I20050511001004 |
| Provider Name | Raymond G Piedmonte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679572531 PECOS PAC ID: 8527009166 Enrollment ID: I20050513000486 |
| Provider Name | Bruce E Kinsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184647232 PECOS PAC ID: 6901847961 Enrollment ID: I20050519000637 |
| Provider Name | Patrick J Lotti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992726111 PECOS PAC ID: 0345281309 Enrollment ID: I20050519000662 |
| Provider Name | Kimberly Ann Kerr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366465619 PECOS PAC ID: 9032152665 Enrollment ID: I20050606000361 |
| Provider Name | David M Stopperich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265410906 PECOS PAC ID: 6305874793 Enrollment ID: I20050727000793 |
| Provider Name | Andrea G Huffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952396889 PECOS PAC ID: 1850329129 Enrollment ID: I20050728000278 |
| Provider Name | Brian H Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437255239 PECOS PAC ID: 0840229571 Enrollment ID: I20050811001030 |
| Provider Name | Steven John Voiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013902097 PECOS PAC ID: 0547290900 Enrollment ID: I20050816000238 |
| Provider Name | Kevin Michael Hartzell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063444370 PECOS PAC ID: 3971528944 Enrollment ID: I20051008000170 |
| Provider Name | Bradley Paul Hamrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235117987 PECOS PAC ID: 7012937451 Enrollment ID: I20051130000904 |
| Provider Name | Nicole Rae Borem Schickel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023068269 PECOS PAC ID: 8426070616 Enrollment ID: I20060103000189 |
| Provider Name | Mark Alan Booher |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447245527 PECOS PAC ID: 3971517343 Enrollment ID: I20060206000778 |
| Provider Name | Grace M Badman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477531986 PECOS PAC ID: 4082620828 Enrollment ID: I20060302000387 |
| Provider Name | Darrel L Huff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841389731 PECOS PAC ID: 6406864966 Enrollment ID: I20060327000139 |
| Provider Name | Susan Emmick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588659510 PECOS PAC ID: 3779594072 Enrollment ID: I20060530000208 |
| Provider Name | Audrey M Abell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457346579 PECOS PAC ID: 6305857608 Enrollment ID: I20060530000221 |
| Provider Name | John E Unison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972598951 PECOS PAC ID: 4789695099 Enrollment ID: I20060531000000 |
| Provider Name | John Kersteff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942295936 PECOS PAC ID: 5698786903 Enrollment ID: I20060531000001 |
| Provider Name | Michael Jon Bode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689669640 PECOS PAC ID: 7416968722 Enrollment ID: I20060531000003 |
| Provider Name | Linda S Schmid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730174541 PECOS PAC ID: 9234140542 Enrollment ID: I20060531000005 |
| Provider Name | Michaela Besold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184619991 PECOS PAC ID: 4587675897 Enrollment ID: I20060531000015 |
| Provider Name | Thomas Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770579674 PECOS PAC ID: 9931110152 Enrollment ID: I20060531000181 |
| Provider Name | Mark Schopper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033104658 PECOS PAC ID: 9638180870 Enrollment ID: I20060601000002 |
| Provider Name | Brett Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376538900 PECOS PAC ID: 3173534310 Enrollment ID: I20060601000005 |
| Provider Name | Christine Bender |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891780847 PECOS PAC ID: 6608887849 Enrollment ID: I20060601000027 |
| Provider Name | Theresa Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699760645 PECOS PAC ID: 9133130370 Enrollment ID: I20060601000047 |
| Provider Name | Jennifer Botkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245225283 PECOS PAC ID: 7214948454 Enrollment ID: I20060601000054 |
| Provider Name | Jared A Fialkow |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619931037 PECOS PAC ID: 5193738227 Enrollment ID: I20060713000107 |
| Provider Name | Pooja Singal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306875588 PECOS PAC ID: 8224034897 Enrollment ID: I20061005000136 |
| Provider Name | April R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891716387 PECOS PAC ID: 4183623549 Enrollment ID: I20061212000401 |
| Provider Name | Natasha Schwent Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992723720 PECOS PAC ID: 0345242608 Enrollment ID: I20070215000534 |
| Provider Name | Angela J Corea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275563298 PECOS PAC ID: 3779685367 Enrollment ID: I20070228000501 |
| Provider Name | Thomas D Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518953033 PECOS PAC ID: 7810090578 Enrollment ID: I20070317000052 |
| Provider Name | Rong Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972683928 PECOS PAC ID: 6204930407 Enrollment ID: I20070328000141 |
| Provider Name | Brendan A Kluszynski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699704510 PECOS PAC ID: 5597860452 Enrollment ID: I20070420000491 |
| Provider Name | William Paul Scotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942342621 PECOS PAC ID: 2264539105 Enrollment ID: I20070529000527 |
| Provider Name | Wendy Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114034519 PECOS PAC ID: 4486629896 Enrollment ID: I20070530000197 |
| Provider Name | Lorrie L Miller Rice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972683209 PECOS PAC ID: 3870691967 Enrollment ID: I20070613000654 |
| Provider Name | Xiusheng Qin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568428217 PECOS PAC ID: 4688686777 Enrollment ID: I20070705000592 |
| Provider Name | Michael P Hartley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700960515 PECOS PAC ID: 5193825503 Enrollment ID: I20070714000161 |
| Provider Name | Jennifer S Caswell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275744179 PECOS PAC ID: 3274633490 Enrollment ID: I20070717000178 |
| Provider Name | Clark E Boccone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285832287 PECOS PAC ID: 9638261977 Enrollment ID: I20070816000561 |
| Provider Name | Tammie L Purcell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124160478 PECOS PAC ID: 4789783770 Enrollment ID: I20070822000055 |
| Provider Name | Casey Irene Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578762944 PECOS PAC ID: 8628160512 Enrollment ID: I20070823000288 |
| Provider Name | Monet D Bowling |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1144424458 PECOS PAC ID: 1850486606 Enrollment ID: I20071009000280 |
| Provider Name | Robyn Lynn Fean |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922145978 PECOS PAC ID: 3072609619 Enrollment ID: I20071012000432 |
| Provider Name | Jennifer M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396835401 PECOS PAC ID: 7618063025 Enrollment ID: I20071017000300 |
| Provider Name | Cheryl Renee Sabens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508069279 PECOS PAC ID: 6800982760 Enrollment ID: I20071023000791 |
| Provider Name | Clint E Myers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063453686 PECOS PAC ID: 6305934431 Enrollment ID: I20071126000652 |
| Provider Name | Jacquelynn Therese Swan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962462804 PECOS PAC ID: 1759333792 Enrollment ID: I20080627000160 |
| Provider Name | Priya P Menon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255424594 PECOS PAC ID: 6305910787 Enrollment ID: I20080802000006 |
| Provider Name | Jaclyn M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558588202 PECOS PAC ID: 4385719103 Enrollment ID: I20080813000545 |
| Provider Name | Meghan R Ashland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629224530 PECOS PAC ID: 7113094228 Enrollment ID: I20080915000690 |
| Provider Name | Cyndi A Speelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871597542 PECOS PAC ID: 9234299769 Enrollment ID: I20081113000591 |
| Provider Name | Mojgan Sarah Savabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689824328 PECOS PAC ID: 1153483854 Enrollment ID: I20081215000023 |
| Provider Name | James W Edmondson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831154863 PECOS PAC ID: 7911061247 Enrollment ID: I20090130000340 |
| Provider Name | Syed K Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265537104 PECOS PAC ID: 0840102570 Enrollment ID: I20090311000491 |
| Provider Name | Barbara A Koewler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588695043 PECOS PAC ID: 9931291275 Enrollment ID: I20090312000124 |
| Provider Name | Michael Pyle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205816592 PECOS PAC ID: 9234296708 Enrollment ID: I20090327000246 |
| Provider Name | Mark Edward Gentry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144260191 PECOS PAC ID: 6507915014 Enrollment ID: I20090512000477 |
| Provider Name | Kenneth M Maynard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730103730 PECOS PAC ID: 5092865790 Enrollment ID: I20090617000567 |
| Provider Name | Chad A Waits |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780734392 PECOS PAC ID: 4486707627 Enrollment ID: I20090805000324 |
| Provider Name | Kyle P Ritter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407906001 PECOS PAC ID: 3678626843 Enrollment ID: I20090805000524 |
| Provider Name | Kimberly Kay Ashley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255560132 PECOS PAC ID: 9830242155 Enrollment ID: I20090806000175 |
| Provider Name | Jamie R Ulbrich Mclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750551859 PECOS PAC ID: 7911052808 Enrollment ID: I20090828000003 |
| Provider Name | Haley N Trambaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669644795 PECOS PAC ID: 8820143712 Enrollment ID: I20090828000004 |
| Provider Name | Chad S Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679675334 PECOS PAC ID: 4688710601 Enrollment ID: I20091006000128 |
| Provider Name | Marcia A Johnson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609851922 PECOS PAC ID: 0244267268 Enrollment ID: I20091112000108 |
| Provider Name | Kelly Marie Glover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952550667 PECOS PAC ID: 9739227380 Enrollment ID: I20091119000101 |
| Provider Name | Ruth M Mccluskey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013119460 PECOS PAC ID: 0941340673 Enrollment ID: I20091210000550 |
| Provider Name | Beth Ann Summers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932300324 PECOS PAC ID: 7416098678 Enrollment ID: I20100109000354 |
| Provider Name | Ivan Legoas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811971690 PECOS PAC ID: 1456302702 Enrollment ID: I20100211000261 |
| Provider Name | Jason D Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427131762 PECOS PAC ID: 2365577350 Enrollment ID: I20100316000523 |
| Provider Name | Steve A Kissel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316038789 PECOS PAC ID: 9638208911 Enrollment ID: I20100525000484 |
| Provider Name | Prem Kumar Konakondla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114186913 PECOS PAC ID: 1254462260 Enrollment ID: I20100707000528 |
| Provider Name | Joseph Fraiz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710927652 PECOS PAC ID: 6204968829 Enrollment ID: I20100717000258 |
| Provider Name | Jonathan J Schmitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740449289 PECOS PAC ID: 8325171291 Enrollment ID: I20100728001050 |
| Provider Name | Anette C Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134128549 PECOS PAC ID: 1658404488 Enrollment ID: I20100730000738 |
| Provider Name | Steven G Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316130859 PECOS PAC ID: 3678606936 Enrollment ID: I20100806000390 |
| Provider Name | Angela R Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881916203 PECOS PAC ID: 1153454327 Enrollment ID: I20100809000982 |
| Provider Name | Laura J Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700088366 PECOS PAC ID: 4688708035 Enrollment ID: I20100820000186 |
| Provider Name | Brad A Prather |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952445710 PECOS PAC ID: 0648325787 Enrollment ID: I20100901000117 |
| Provider Name | David M Harsha |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326022773 PECOS PAC ID: 5395860084 Enrollment ID: I20100917001061 |
| Provider Name | Mark A Muckway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265521652 PECOS PAC ID: 6305039454 Enrollment ID: I20101021000106 |
| Provider Name | Matthew A Keefer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649236258 PECOS PAC ID: 6608761655 Enrollment ID: I20101115000394 |
| Provider Name | James Robert Nossett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225143506 PECOS PAC ID: 6406821487 Enrollment ID: I20101204000123 |
| Provider Name | Linda S Decesare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083825202 PECOS PAC ID: 8224225982 Enrollment ID: I20101207000459 |
| Provider Name | Frank P Troiano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154327955 PECOS PAC ID: 0446382030 Enrollment ID: I20101217000485 |
| Provider Name | David C Pound |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760488563 PECOS PAC ID: 5991837585 Enrollment ID: I20101217000506 |
| Provider Name | Brian James Leffler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386816403 PECOS PAC ID: 5294880175 Enrollment ID: I20110212000017 |
| Provider Name | Stephanie M Macke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215192620 PECOS PAC ID: 8921281783 Enrollment ID: I20110331000816 |
| Provider Name | Mark A Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306008321 PECOS PAC ID: 0446435291 Enrollment ID: I20110421000391 |
| Provider Name | Therese M Collier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851303325 PECOS PAC ID: 4284819731 Enrollment ID: I20110426000805 |
| Provider Name | Kelli Marie Burress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912203894 PECOS PAC ID: 8426234881 Enrollment ID: I20110519000204 |
| Provider Name | Jonathon Scott Cline |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396903902 PECOS PAC ID: 2163690298 Enrollment ID: I20110715000595 |
| Provider Name | Jill Janay Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639460652 PECOS PAC ID: 5597937987 Enrollment ID: I20111006000663 |
| Provider Name | Scott D Curry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144206640 PECOS PAC ID: 8325014517 Enrollment ID: I20120117000539 |
| Provider Name | Janna L Kissel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104013770 PECOS PAC ID: 5799874780 Enrollment ID: I20120201000002 |
| Provider Name | Scott A Oosting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881837466 PECOS PAC ID: 7416110812 Enrollment ID: I20120523000032 |
| Provider Name | Satish Nandyala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619107885 PECOS PAC ID: 5991969917 Enrollment ID: I20120604000076 |
| Provider Name | Uwe G Klemm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497793038 PECOS PAC ID: 6002070836 Enrollment ID: I20120607000312 |
| Provider Name | Ryan J Van Donselaar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447493093 PECOS PAC ID: 7012171457 Enrollment ID: I20120614000351 |
| Provider Name | Stacy Lynn Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710121413 PECOS PAC ID: 3072762863 Enrollment ID: I20121011000746 |
| Provider Name | Samir R Ginde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568696615 PECOS PAC ID: 4183874779 Enrollment ID: I20121016000581 |
| Provider Name | Gina Sherie Leman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942569371 PECOS PAC ID: 5294986022 Enrollment ID: I20121103000033 |
| Provider Name | Margot K Sheets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770822058 PECOS PAC ID: 8527204387 Enrollment ID: I20130423000435 |
| Provider Name | Joshua Steven Neucks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265675953 PECOS PAC ID: 6507002037 Enrollment ID: I20130607000495 |
| Provider Name | James R Walton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831327980 PECOS PAC ID: 8123264314 Enrollment ID: I20130826000074 |
| Provider Name | Teresa A Lain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376981084 PECOS PAC ID: 4688817877 Enrollment ID: I20130909000476 |
| Provider Name | Sumalatha V Satoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457336679 PECOS PAC ID: 6901941251 Enrollment ID: I20130925000659 |
| Provider Name | Anna Gramling |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508033408 PECOS PAC ID: 8921140716 Enrollment ID: I20130926000720 |
| Provider Name | Laurie M Van Donselaar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639312168 PECOS PAC ID: 8123252384 Enrollment ID: I20131002000264 |
| Provider Name | Elizabeth A Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639498793 PECOS PAC ID: 5395987168 Enrollment ID: I20131003000201 |
| Provider Name | Cory R Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689806432 PECOS PAC ID: 1456521095 Enrollment ID: I20131021000375 |
| Provider Name | Christina M Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740623156 PECOS PAC ID: 9436384765 Enrollment ID: I20131022002280 |
| Provider Name | Freaw Nigussie Dejenie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649439050 PECOS PAC ID: 4183817943 Enrollment ID: I20131108000089 |
| Provider Name | Fortunata M Mashibe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346679297 PECOS PAC ID: 6901034149 Enrollment ID: I20140114001368 |
| Provider Name | Muddassir Aliniazee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912133653 PECOS PAC ID: 4587810338 Enrollment ID: I20140117001046 |
| Provider Name | Shantaniece Sherrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609203884 PECOS PAC ID: 8527296474 Enrollment ID: I20140122001595 |
| Provider Name | Lori Anne Heald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861813669 PECOS PAC ID: 5890925598 Enrollment ID: I20140225000955 |
| Provider Name | Michael N Kuria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154765725 PECOS PAC ID: 3971744590 Enrollment ID: I20140414001601 |
| Provider Name | Justin Clay Becker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174780076 PECOS PAC ID: 3072736651 Enrollment ID: I20140529001236 |
| Provider Name | Scott D Moschel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467450312 PECOS PAC ID: 7618948639 Enrollment ID: I20140701001247 |
| Provider Name | Antoinette A Mensah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205047107 PECOS PAC ID: 2163614215 Enrollment ID: I20140711000682 |
| Provider Name | Dawn E Fairburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316353055 PECOS PAC ID: 2860617552 Enrollment ID: I20140714002114 |
| Provider Name | Todd Bertrand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386804987 PECOS PAC ID: 1456577097 Enrollment ID: I20140717000510 |
| Provider Name | Nicole Renae King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184945198 PECOS PAC ID: 0143468496 Enrollment ID: I20140717001055 |
| Provider Name | Kristi A Moschel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356349393 PECOS PAC ID: 4587689948 Enrollment ID: I20140918001676 |
| Provider Name | Jennifer L Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386937258 PECOS PAC ID: 2567695331 Enrollment ID: I20140923002554 |
| Provider Name | Angela Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407256613 PECOS PAC ID: 8022239128 Enrollment ID: I20141014001324 |
| Provider Name | Michelle D Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649688771 PECOS PAC ID: 5597986471 Enrollment ID: I20141017000369 |
| Provider Name | Keith T Huff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073517744 PECOS PAC ID: 1658592035 Enrollment ID: I20141028002718 |
| Provider Name | Aparna Narayana Kurup |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1366721094 PECOS PAC ID: 3971725839 Enrollment ID: I20141107001237 |
| Provider Name | Mark E Pajeau |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114131711 PECOS PAC ID: 5092991125 Enrollment ID: I20150126000223 |
| Provider Name | Michelo Andrew Chikonka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083011662 PECOS PAC ID: 6002132230 Enrollment ID: I20150306001149 |
| Provider Name | Rachel Ellen Scott |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649437278 PECOS PAC ID: 4385963313 Enrollment ID: I20150424001109 |
| Provider Name | Thomas Zabiega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386755916 PECOS PAC ID: 7719973601 Enrollment ID: I20150616000458 |
| Provider Name | Chiedozie K Anokwute |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811272438 PECOS PAC ID: 9133432362 Enrollment ID: I20150717000262 |
| Provider Name | Jason K Kindrat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679836530 PECOS PAC ID: 4385884782 Enrollment ID: I20150717000664 |
| Provider Name | Alyssa M Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518348887 PECOS PAC ID: 3173836939 Enrollment ID: I20150722005166 |
| Provider Name | Joyce Alice Marie Fuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699165068 PECOS PAC ID: 1658687025 Enrollment ID: I20150831001591 |
| Provider Name | Elaina N Diorio |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902210255 PECOS PAC ID: 2163647280 Enrollment ID: I20151014001352 |
| Provider Name | Bryan C Schultz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477973840 PECOS PAC ID: 7214152321 Enrollment ID: I20151016001107 |
| Provider Name | Kerri A Pritchard-jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720481666 PECOS PAC ID: 9032331137 Enrollment ID: I20151020000460 |
| Provider Name | Erica D Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417320870 PECOS PAC ID: 8426368887 Enrollment ID: I20151116000313 |
| Provider Name | Susan N Disser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225402233 PECOS PAC ID: 1557661626 Enrollment ID: I20151120001334 |
| Provider Name | Alyssa M Hilden |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457723447 PECOS PAC ID: 7214232271 Enrollment ID: I20160229002390 |
| Provider Name | Anne E Mattingly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174842595 PECOS PAC ID: 7416194626 Enrollment ID: I20160617001379 |
| Provider Name | Sarah E Schilling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407119415 PECOS PAC ID: 9537310982 Enrollment ID: I20160701000367 |
| Provider Name | Adrienne L Merrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447594858 PECOS PAC ID: 8325286511 Enrollment ID: I20160708000052 |
| Provider Name | Jenna Jolene Delong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376900225 PECOS PAC ID: 0547552507 Enrollment ID: I20160712001330 |
| Provider Name | Kristy L Mount |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235572124 PECOS PAC ID: 7719111079 Enrollment ID: I20160715001735 |
| Provider Name | Jessica Gregory |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790136661 PECOS PAC ID: 5597058750 Enrollment ID: I20160726000617 |
| Provider Name | Rajat Narang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225268972 PECOS PAC ID: 0648495945 Enrollment ID: I20160726002060 |
| Provider Name | Abigail Lynn Wantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538520408 PECOS PAC ID: 0345535357 Enrollment ID: I20160829002832 |
| Provider Name | Charles Rice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558522763 PECOS PAC ID: 7416104930 Enrollment ID: I20160830002488 |
| Provider Name | Sherrisa M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477910545 PECOS PAC ID: 8123316759 Enrollment ID: I20161013001075 |
| Provider Name | Deanna Nichole Adamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723396 PECOS PAC ID: 4486942810 Enrollment ID: I20161018000564 |
| Provider Name | Nathan V Mcclelland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144575598 PECOS PAC ID: 7810146487 Enrollment ID: I20161116001506 |
| Provider Name | Lori Lynn Endicott-cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801347000 PECOS PAC ID: 3971885658 Enrollment ID: I20170113001037 |
| Provider Name | Prasanna Ponugoti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790912830 PECOS PAC ID: 4688824865 Enrollment ID: I20170310001034 |
| Provider Name | Samantha Mccurties |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396157327 PECOS PAC ID: 9830468362 Enrollment ID: I20170627000768 |
| Provider Name | Christina L Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114307766 PECOS PAC ID: 4789998287 Enrollment ID: I20170725001964 |
| Provider Name | Gerirose Gooding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649545757 PECOS PAC ID: 4880985613 Enrollment ID: I20170809002568 |
| Provider Name | Tyler J Beckley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710008297 PECOS PAC ID: 7416127485 Enrollment ID: I20170815002341 |
| Provider Name | Julie Rachelle Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265951768 PECOS PAC ID: 8628343779 Enrollment ID: I20170929000968 |
| Provider Name | Noble Sam Mycle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043654874 PECOS PAC ID: 2567786759 Enrollment ID: I20171019003286 |
| Provider Name | Riddhi Trivedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992124648 PECOS PAC ID: 2860618113 Enrollment ID: I20171108000204 |
| Provider Name | Nadia F Savabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386163103 PECOS PAC ID: 9830455740 Enrollment ID: I20171109001160 |
| Provider Name | Amy Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255404455 PECOS PAC ID: 2567721863 Enrollment ID: I20180112000243 |
| Provider Name | Joseph J. Lesnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861470262 PECOS PAC ID: 5092759456 Enrollment ID: I20180130000125 |
| Provider Name | Lisa H Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851804926 PECOS PAC ID: 7517227150 Enrollment ID: I20180131000115 |
| Provider Name | Kelley Elizabeth Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891207619 PECOS PAC ID: 0749540276 Enrollment ID: I20180201001296 |
| Provider Name | Carolyn M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871644278 PECOS PAC ID: 1850651233 Enrollment ID: I20180202001003 |
| Provider Name | Stephen Paul Parsons |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932146966 PECOS PAC ID: 9537171038 Enrollment ID: I20180329002029 |
| Provider Name | Amanda N Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790284529 PECOS PAC ID: 7618230350 Enrollment ID: I20180411002434 |
| Provider Name | Sathish Kumar Kumar Krishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508121492 PECOS PAC ID: 3971868928 Enrollment ID: I20180523000602 |
| Provider Name | Brice Ashton Keefer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306263652 PECOS PAC ID: 9436374469 Enrollment ID: I20180530003198 |
| Provider Name | Lars O Logdberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417376369 PECOS PAC ID: 7517222102 Enrollment ID: I20180601000441 |
| Provider Name | Jennifer Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760833511 PECOS PAC ID: 5991060436 Enrollment ID: I20180604000599 |
| Provider Name | Jessica A Fidler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184115677 PECOS PAC ID: 9032466420 Enrollment ID: I20180717000346 |
| Provider Name | Tyler Michael Fromm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104238435 PECOS PAC ID: 9234353384 Enrollment ID: I20180809004424 |
| Provider Name | Zachary Conner Ritchie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992118822 PECOS PAC ID: 2466740006 Enrollment ID: I20180827002958 |
| Provider Name | Megan Kathryn Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811490519 PECOS PAC ID: 1153671920 Enrollment ID: I20180829002419 |
| Provider Name | Heidi Marie Pifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235616731 PECOS PAC ID: 3476804410 Enrollment ID: I20181001002507 |
| Provider Name | Jillian Marie Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437638848 PECOS PAC ID: 0648523712 Enrollment ID: I20181019002099 |
| Provider Name | Jaswinder Jalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831667823 PECOS PAC ID: 2961747092 Enrollment ID: I20181218003173 |
| Provider Name | Breeann Sparks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265904718 PECOS PAC ID: 8527305671 Enrollment ID: I20190128000878 |
| Provider Name | Nicholas Rust |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578035879 PECOS PAC ID: 3870830920 Enrollment ID: I20190128000966 |
| Provider Name | Travis Randall Mcpike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356814982 PECOS PAC ID: 7810236221 Enrollment ID: I20190301001740 |
| Provider Name | Alex Kor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922169374 PECOS PAC ID: 6002894748 Enrollment ID: I20190318000095 |
| Provider Name | Rajiv Narula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982959979 PECOS PAC ID: 6709147689 Enrollment ID: I20190426001148 |
| Provider Name | Carlo P Balmaseda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114583564 PECOS PAC ID: 3173856192 Enrollment ID: I20190606001577 |
| Provider Name | Harsimrat K Jalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538643606 PECOS PAC ID: 9335473123 Enrollment ID: I20190627003053 |
| Provider Name | Ruchir Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396033437 PECOS PAC ID: 1557656501 Enrollment ID: I20190702002072 |
| Provider Name | Sumit Rishi Chawla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407122740 PECOS PAC ID: 1951697531 Enrollment ID: I20190703000946 |
| Provider Name | Katelyn Jean Lakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841858115 PECOS PAC ID: 2961738083 Enrollment ID: I20190727000403 |
| Provider Name | Evan Mitchell Landry Tomkiewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124518931 PECOS PAC ID: 8426313370 Enrollment ID: I20190814004053 |
| Provider Name | Heather Faye Burt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659734788 PECOS PAC ID: 5092007823 Enrollment ID: I20190820001346 |
| Provider Name | Niloufar Ehsani Ahmad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447637913 PECOS PAC ID: 4284947391 Enrollment ID: I20190820002470 |
| Provider Name | Jillian Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548799695 PECOS PAC ID: 1052689940 Enrollment ID: I20190822000701 |
| Provider Name | Chastity R Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780244970 PECOS PAC ID: 9931437159 Enrollment ID: I20190827001284 |
| Provider Name | Brogan D Hayden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245685114 PECOS PAC ID: 2961793765 Enrollment ID: I20190926001545 |
| Provider Name | Olivia Nicole Batten |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457832099 PECOS PAC ID: 0345594008 Enrollment ID: I20191011001685 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558757757 PECOS PAC ID: 9335424449 Enrollment ID: I20200109000285 |
| Provider Name | Jeanette Marie Hay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134752546 PECOS PAC ID: 1658708607 Enrollment ID: I20200303002688 |
| Provider Name | Meghan I Fite |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518288158 PECOS PAC ID: 1759528425 Enrollment ID: I20200310000623 |
| Provider Name | Tyler E Heavin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497246862 PECOS PAC ID: 9436404399 Enrollment ID: I20200316001195 |
| Provider Name | Jaspreet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093346397 PECOS PAC ID: 6901235241 Enrollment ID: I20200407002605 |
| Provider Name | Sabyasachi Mohapatra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336250596 PECOS PAC ID: 5496721672 Enrollment ID: I20200413000542 |
| Provider Name | Dru S Sappington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689107765 PECOS PAC ID: 0648517920 Enrollment ID: I20200611001837 |
| Provider Name | Allie Sadowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215462106 PECOS PAC ID: 9931476421 Enrollment ID: I20200701003287 |
| Provider Name | Jennifer Arline Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063046837 PECOS PAC ID: 0345663423 Enrollment ID: I20200708000824 |
| Provider Name | Megan Gale Engelman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114543352 PECOS PAC ID: 4082038492 Enrollment ID: I20200717002602 |
| Provider Name | Paul Wilson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396139572 PECOS PAC ID: 1254755697 Enrollment ID: I20200720000501 |
| Provider Name | Krystal Reynolds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730530429 PECOS PAC ID: 6406149392 Enrollment ID: I20200721003303 |
| Provider Name | Melissa C Schultz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609317809 PECOS PAC ID: 6901155704 Enrollment ID: I20200723000268 |
| Provider Name | Melissa Trees |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801413083 PECOS PAC ID: 0648694422 Enrollment ID: I20200727002369 |
| Provider Name | Cody Owens |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1720513708 PECOS PAC ID: 1355619180 Enrollment ID: I20200731001131 |
| Provider Name | Lauren Gnagy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609371632 PECOS PAC ID: 3375961501 Enrollment ID: I20200918002510 |
| Provider Name | Nathanel David Mcleod |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902048499 PECOS PAC ID: 9133362494 Enrollment ID: I20201015000690 |
| Provider Name | Danielle Marie Lantrip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043825789 PECOS PAC ID: 3870905524 Enrollment ID: I20201222001026 |
| Provider Name | Dierdre Payne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760761613 PECOS PAC ID: 8426228412 Enrollment ID: I20210113000379 |
| Provider Name | Beau Prescott Semler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972194561 PECOS PAC ID: 8123433281 Enrollment ID: I20210223001679 |
| Provider Name | Mark E Query |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184989220 PECOS PAC ID: 4789824186 Enrollment ID: I20210519000145 |
| Provider Name | Peter Umukoro |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679924013 PECOS PAC ID: 3971879081 Enrollment ID: I20210603002766 |
| Provider Name | Jie Yu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255748075 PECOS PAC ID: 4880990050 Enrollment ID: I20210604002803 |
| Provider Name | Nathan Bleeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306342647 PECOS PAC ID: 1557618899 Enrollment ID: I20210702001894 |
| Provider Name | Michael J Zalenski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689102691 PECOS PAC ID: 5698198240 Enrollment ID: I20210708000535 |
| Provider Name | Nedhi Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477948529 PECOS PAC ID: 7416269048 Enrollment ID: I20210730002452 |
| Provider Name | Kiesha Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720439680 PECOS PAC ID: 9133412422 Enrollment ID: I20210802001164 |
| Provider Name | Lirim Krveshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255759536 PECOS PAC ID: 2567760143 Enrollment ID: I20210802002130 |
| Provider Name | Alyssa Michelle Zalenski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861920878 PECOS PAC ID: 2860897535 Enrollment ID: I20210818000966 |
| Provider Name | Benjamin Monson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063588812 PECOS PAC ID: 2567600513 Enrollment ID: I20210824002452 |
| Provider Name | Kathryn Wenning Furge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386274215 PECOS PAC ID: 8921404740 Enrollment ID: I20210902001332 |
| Provider Name | Chengyu Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801562152 PECOS PAC ID: 5294131454 Enrollment ID: I20210914000666 |
| Provider Name | Moiz Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750794244 PECOS PAC ID: 3870858749 Enrollment ID: I20210915001255 |
| Provider Name | Jennifer Regan Harbaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962420976 PECOS PAC ID: 8224043278 Enrollment ID: I20210923001248 |
| Provider Name | Julie Landess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588136774 PECOS PAC ID: 2466791934 Enrollment ID: I20210928000587 |
| Provider Name | Hannah Michelle Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346869112 PECOS PAC ID: 7012315864 Enrollment ID: I20211007002881 |
| Provider Name | Hassan A Al-shammaa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497173850 PECOS PAC ID: 1951600030 Enrollment ID: I20211015001242 |
| Provider Name | Brittany Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467117051 PECOS PAC ID: 7416346572 Enrollment ID: I20211110001821 |
| Provider Name | Crystal M Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801468475 PECOS PAC ID: 4587053525 Enrollment ID: I20211115000226 |
| Provider Name | Swati Laroia Coon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306284765 PECOS PAC ID: 8224255492 Enrollment ID: I20211118000856 |
| Provider Name | Taylor Anne Vandervort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851904973 PECOS PAC ID: 5991196107 Enrollment ID: I20211223001034 |
| Provider Name | Ximena Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477537256 PECOS PAC ID: 9739159039 Enrollment ID: I20220114000733 |
| Provider Name | Rukeme Ake-uzoigwe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477959419 PECOS PAC ID: 7113298340 Enrollment ID: I20220211001165 |
| Provider Name | Sami Abuqayyas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780024273 PECOS PAC ID: 7517261050 Enrollment ID: I20220315000581 |
| Provider Name | Roulan Abu Hweij |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942676069 PECOS PAC ID: 6002111960 Enrollment ID: I20220404001190 |
| Provider Name | Okechukwu C Gubor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952076663 PECOS PAC ID: 0446637458 Enrollment ID: I20220512002431 |
| Provider Name | Katherine Bannister |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104576727 PECOS PAC ID: 9436537206 Enrollment ID: I20220607001611 |
| Provider Name | Melanie Winningham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588954788 PECOS PAC ID: 9335434752 Enrollment ID: I20220614001582 |
| Provider Name | Tabitha Lynn Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700537982 PECOS PAC ID: 3173903226 Enrollment ID: I20220706003618 |
| Provider Name | Christina Salazar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447612593 PECOS PAC ID: 5092149369 Enrollment ID: I20220721002397 |
| Provider Name | Tyler Jacob Lucas |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295232643 PECOS PAC ID: 2567719800 Enrollment ID: I20220822000945 |
| Provider Name | Jesse Noell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629634308 PECOS PAC ID: 4789068719 Enrollment ID: I20220825000700 |
| Provider Name | Brock Spencer Harding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790348811 PECOS PAC ID: 1153658893 Enrollment ID: I20220827000414 |
| Provider Name | Brooke Ana Russell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669102760 PECOS PAC ID: 9830573575 Enrollment ID: I20220830003319 |
| Provider Name | Keith William Groppel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194844100 PECOS PAC ID: 3274917927 Enrollment ID: I20220830003844 |
| Provider Name | Lucas Markiewicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497482079 PECOS PAC ID: 6608250998 Enrollment ID: I20220906002449 |
| Provider Name | Benjamin Scott Gulbrand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770003022 PECOS PAC ID: 2365827540 Enrollment ID: I20220924000319 |
| Provider Name | Anuj Atul Shukla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669829826 PECOS PAC ID: 5991098220 Enrollment ID: I20220930001603 |
| Provider Name | Dustin Phillip Andresen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528356805 PECOS PAC ID: 7618100157 Enrollment ID: I20221108001801 |
| Provider Name | Kiara Sophia Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801513791 PECOS PAC ID: 8224407796 Enrollment ID: I20221206002090 |
| Provider Name | Sam Kumar Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20230330001381 |
| Provider Name | Rami-james Kazim Assadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265819478 PECOS PAC ID: 8325343247 Enrollment ID: I20230413000733 |
| Provider Name | Steven Dale Arbogast |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962615377 PECOS PAC ID: 3375697774 Enrollment ID: I20230508002039 |
| Provider Name | Eric Samuel Hall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326466830 PECOS PAC ID: 7113223314 Enrollment ID: I20230517003204 |
| Provider Name | Arsalan Bin Mohammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457975260 PECOS PAC ID: 7810311727 Enrollment ID: I20230615003541 |
| Provider Name | Brett Jamieson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114616810 PECOS PAC ID: 0648638783 Enrollment ID: I20230621002356 |
| Provider Name | Stephanie Jo Weldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285318568 PECOS PAC ID: 9133587264 Enrollment ID: I20230622001761 |
| Provider Name | Nicholas Ramey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619666914 PECOS PAC ID: 1850750472 Enrollment ID: I20230629002946 |
| Provider Name | Jacob Holtz |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1689237711 PECOS PAC ID: 2668706052 Enrollment ID: I20230728002246 |
| Provider Name | Kussay Nassr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316942022 PECOS PAC ID: 8820079684 Enrollment ID: I20230801001833 |
| Provider Name | Nicole Marie Whistler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982233268 PECOS PAC ID: 9133542475 Enrollment ID: I20230801003560 |
| Provider Name | Chelan Kristine Ropert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548765522 PECOS PAC ID: 4789005182 Enrollment ID: I20230802002112 |
| Provider Name | Jonathan Diaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578856159 PECOS PAC ID: 8224255633 Enrollment ID: I20230802003101 |
| Provider Name | Lindsey Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437682788 PECOS PAC ID: 9335411644 Enrollment ID: I20230804000140 |
| Provider Name | Luke Wren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922637537 PECOS PAC ID: 3779971643 Enrollment ID: I20230804003588 |
| Provider Name | Kyle Whistler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548899826 PECOS PAC ID: 3476976713 Enrollment ID: I20230807001219 |
| Provider Name | Beatrice Rae Soderholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396207973 PECOS PAC ID: 7416281795 Enrollment ID: I20230809000475 |
| Provider Name | Yen Trang Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841515574 PECOS PAC ID: 8921329665 Enrollment ID: I20230811000499 |
| Provider Name | Hannah Krebsbach |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821591629 PECOS PAC ID: 4587065016 Enrollment ID: I20230814002559 |
| Provider Name | Allison Suzanne Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366064321 PECOS PAC ID: 1052733037 Enrollment ID: I20230816004261 |
| Provider Name | Kristen M Mylcraine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609517960 PECOS PAC ID: 1951780287 Enrollment ID: I20230822001467 |
| Provider Name | Nandini Bakshi Batra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801902200 PECOS PAC ID: 5991855595 Enrollment ID: I20230831002438 |
| Provider Name | Neil Avinash Bhathela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851820567 PECOS PAC ID: 2163793829 Enrollment ID: I20230906000201 |
| Provider Name | Katie Hewitt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003598749 PECOS PAC ID: 2264896257 Enrollment ID: I20230908002375 |
| Provider Name | Cindy Kinsman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053682450 PECOS PAC ID: 9537327739 Enrollment ID: I20230922002175 |
| Provider Name | Taylor Bonam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710765011 PECOS PAC ID: 1254785181 Enrollment ID: I20230927000848 |
| Provider Name | Leigh A Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033891411 PECOS PAC ID: 1759745631 Enrollment ID: I20231023002959 |
| Provider Name | Dorothy Klingmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487996062 PECOS PAC ID: 5799087722 Enrollment ID: I20231024001833 |
| Provider Name | Luke Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013781699 PECOS PAC ID: 8022466739 Enrollment ID: I20231117003165 |
| Provider Name | Tejas Ranade |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1043702459 PECOS PAC ID: 9830563873 Enrollment ID: I20231128001200 |
| Provider Name | Lauren Marie Yekel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942074570 PECOS PAC ID: 1951752609 Enrollment ID: I20240108003713 |
| Provider Name | Emily Jean Schaefer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619619525 PECOS PAC ID: 7719366764 Enrollment ID: I20240314000740 |
| Provider Name | Tori Lafleur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447639422 PECOS PAC ID: 7719212927 Enrollment ID: I20240316000090 |
| Provider Name | Lauren Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114556768 PECOS PAC ID: 6507288867 Enrollment ID: I20240530004088 |
| Provider Name | Zachary H Birner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295315943 PECOS PAC ID: 1951780873 Enrollment ID: I20240627001199 |
| Provider Name | Andrew Koelper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598348435 PECOS PAC ID: 5395147375 Enrollment ID: I20240628002163 |
| Provider Name | Marion A Fossum |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1356875736 PECOS PAC ID: 0244772507 Enrollment ID: I20240708004123 |
| Provider Name | Sara R Starr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508601063 PECOS PAC ID: 4688119167 Enrollment ID: I20240709001209 |
| Provider Name | Mustafa Ali Khan |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1861489601 PECOS PAC ID: 0345317277 Enrollment ID: I20240709003568 |
| Provider Name | Amr Elmaghraby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639517949 PECOS PAC ID: 1254553605 Enrollment ID: I20240711000638 |
| Provider Name | Hilda Aveja |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861234411 PECOS PAC ID: 5294270203 Enrollment ID: I20240715002466 |
| Provider Name | Akudo Uchechi Anokwute |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1902428931 PECOS PAC ID: 0042676132 Enrollment ID: I20240717000413 |
| Provider Name | Joshua T Mathews |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366936726 PECOS PAC ID: 5294125944 Enrollment ID: I20240718001453 |
| Provider Name | Ann Collier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487898458 PECOS PAC ID: 0042442915 Enrollment ID: I20240723004063 |
| Provider Name | Katayoun Behbahani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720213077 PECOS PAC ID: 6103098322 Enrollment ID: I20240729000439 |
| Provider Name | Krystine Ann Gulbrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346770229 PECOS PAC ID: 7113276643 Enrollment ID: I20240729002008 |
| Provider Name | Jesse Corry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215964499 PECOS PAC ID: 3577568823 Enrollment ID: I20240808000507 |
| Provider Name | Paresh M Sojitra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508251059 PECOS PAC ID: 2961754908 Enrollment ID: I20240808001333 |
| Provider Name | Catrina Kay Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770345043 PECOS PAC ID: 8729526793 Enrollment ID: I20240821003512 |
| Provider Name | Christina Catherine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780079566 PECOS PAC ID: 1456687136 Enrollment ID: I20240822004155 |
| Provider Name | Julie Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629800131 PECOS PAC ID: 2163961723 Enrollment ID: I20240827001950 |
| Provider Name | Lauren B Crawford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952896789 PECOS PAC ID: 5799038477 Enrollment ID: I20240827003428 |
| Provider Name | Steve Flinkenstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821209255 PECOS PAC ID: 3779678461 Enrollment ID: I20240913002015 |
| Provider Name | Daniel Peshka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073560181 PECOS PAC ID: 9133258262 Enrollment ID: I20240918004426 |
| Provider Name | Latangela Renee Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790162493 PECOS PAC ID: 4587979232 Enrollment ID: I20240920003544 |
| Provider Name | Jessica Lauren Larrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336892587 PECOS PAC ID: 3678008760 Enrollment ID: I20241126003196 |
| Provider Name | Donna Newsome |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225132277 PECOS PAC ID: 9234233529 Enrollment ID: I20241127003912 |
| Provider Name | Aaron Afraim Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558758128 PECOS PAC ID: 6608170741 Enrollment ID: I20241129000056 |
| Provider Name | Aravind Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548756588 PECOS PAC ID: 9436527447 Enrollment ID: I20241207000141 |
Comprehensive Infectious Disease Of Indiana P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2255 E Main St, Danville, IN 46122 Phone: 317-745-3333 Fax: 317-745-3303 | |
Cynthia L Wills Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Meadow Dr, Danville, IN 46122 Phone: 317-745-7759 Fax: 317-745-0825 | |
Hendricks County Wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 E Main St, Danville, IN 46122 Phone: 317-718-2950 Fax: 317-718-2955 | |
Endo-indy, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 998 E Main St Ste 104, Danville, IN 46122 Phone: 317-745-6305 Fax: 317-298-8064 | |
Lovall And Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 Meadow Dr, Danville, IN 46122 Phone: 317-718-5523 Fax: 317-718-5576 | |
Hendricks County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Ln, Suite 115, Danville, IN 46122 Phone: 317-718-4066 Fax: 317-718-4076 | |
Mitchell D Krathwohl Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2255 E Main St, Danville, IN 46122 Phone: 317-745-3333 Fax: 317-745-3303 |